NPI | 1265623375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 013792-1) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017128) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2012-03-30 |